Foundations in Rehabilitation and Injury Management

Subjective History

This is when the professional takes down some basic information about the patient. This includes:

 Name
 Date of birth
 Gender
 Informed consent to carry out a particular procedure
 PMH- Previous Medical History
 Drug History
 Social History
 Mechanism of injury

The professional then writes a list which takes all of the patient’s problems into account. After this, a
treatment plan is developed.

When a professional treats a patient, it is very important to gain the patient’s consent before any
form of treatment is given so they are comfortable. Professionals also have a duty to explain to any
patient what they are about to do and what their reason is for doing this. They must also explain to
the patient what the treatment will involve and whether there are any benefits or drawbacks. The
patient also has a choice to decline treatment.

A red flag is a sign of danger. In medical terms, the word red flag is used when a life threatening
problem is detected. This could be after a physical examination or a scan. The patient may require
urgent treatment and so may need to be referred back to their GP or maybe even the emergency
department.

A yellow flag is when a patient has negative beliefs about their treatments. They may be very
pessimistic and believe that their condition will only get worse. They may become very paranoid
about the injury, for example, they may think if they go back to work it will make the injury worse or
use of the injured body part will re-injure or aggravate the existing injury.

In medical terms, contraindication means that a certain drug or form of treatment should not be
used at all because it could be harmful to the patient.